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Upper Endoscopy With Ultrasound-Guided Biopsy

Wyoming rates for HCPCS 43242

A flexible camera is passed through the mouth into the food pipe, stomach and first part of the small intestine, with an ultrasound probe on its tip that sees through the gut wall into nearby organs such as the pancreas, bile duct and lymph nodes. A fine needle is then passed through the wall under ultrasound guidance to take samples from a lump or gland. The ultrasound survey covers the full upper tract rather than one area alone.

Rates data updated October 2026.

How much does Upper Endoscopy With Ultrasound-Guided Biopsy cost?

$2,855

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $2,855 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $2,042 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$525 to $1,047
Facility feeThe hospital or surgery center$2,042$1,622 to $2,042

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,148 to $2,239Professionalmedian $813 · 10th to 90th $380 to $1,259
$500$1K$2K$5Kfacility $2,042professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$398.11
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$398.11
Typical High
$630.96
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,288.25
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$478.63
Typical High
$1,513.56

Where Wyoming sits

The same service costs 5.1 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Wyoming· 9th of 51

$2,855

$813 physician + $2,042 facility

CO $4,182MT $815

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.